FORM 1023-EZ for LAGRANGE FIRE EDUCATION AND PREVENTION INC

Field Data
EIN 83-1359474
Case Number EO-2018211-000232
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LAGRANGE FIRE EDUCATION AND PREVENTION INC
Organization’s Mailing Address 309 N FIRST AVE
City LAGRANGE
State KY
ZIP 40031
Accounting period End 6
Primary contact name JAMES D THEISS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES SITZLER
PRESIDENT DIRECTOR
309 N FIRST AVE
LAGRANGE KY 40031

Officer/Director/Trustee Two

KEITH SMITH
DIRECTOR
309 N FIRST AVE
LAGRANGE KY 40031

Officer/Director/Trustee Three

BRIAN CLAYBERN
DIRECTOR
309 N FIRST AVE
LAGRANGE KY 40031

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/12/18
Organization Incorporation State KY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M24 - Fire Prevention, Protection, Control
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KEITH SMITH
Signature Title DIRECTOR
Signature Date 7/26/18

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